Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,843.00 / $10,399.00 / $22,788.00	Facility		$2,843.00	$10,399.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.39 / $1,403.82 / $6,776.34	Professional		$1,199.39	$1,403.82	$6,776.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,598.00 / $10,467.00 / $26,317.00	Facility		$3,598.00	$10,467.00	$26,317.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,232.77 / $1,861.11 / $3,652.13	Professional		$1,232.77	$1,861.11	$3,652.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $976.06 / $20,057.45	Facility		$59.90	$976.06	$20,057.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $858.48 / $1,272.86 / $2,846.23	Professional		$858.48	$1,272.86	$2,846.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,182.00 / $13,534.00 / $23,091.00	Facility		$9,182.00	$13,534.00	$23,091.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,313.88 / $1,650.14 / $3,952.85	Professional		$1,313.88	$1,650.14	$3,952.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,141.08 / $1,611.08	Professional		$760.72	$1,141.08	$1,611.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.31 / $1,527.13 / $2,830.87	Professional		$1,208.31	$1,527.13	$2,830.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,205.17 / $15,936.25 / $16,357.99	Facility		$13,205.17	$15,936.25	$16,357.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,915.00 / $25,915.00 / $25,915.00	Professional		$25,915.00	$25,915.00	$25,915.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,286.76 / $1,762.86 / $15,595.00	Facility		$1,286.76	$1,762.86	$15,595.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,310.60 / $1,635.53 / $3,638.80	Professional		$1,310.60	$1,635.53	$3,638.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,204.60 / $4,204.60 / $4,204.60	Professional		$4,204.60	$4,204.60	$4,204.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $760.72 / $1,141.08 / $1,487.26	Professional		$760.72	$1,141.08	$1,487.26
United Facility/Professional Facility Modifier Low / Median / High Price $10,623.00 / $20,877.00 / $51,670.00	Facility		$10,623.00	$20,877.00	$51,670.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,098.23 / $1,502.66 / $3,290.38	Professional		$1,098.23	$1,502.66	$3,290.38